Provider Demographics
NPI:1033689807
Name:CATRON, NAIOMI (RN)
Entity Type:Individual
Prefix:
First Name:NAIOMI
Middle Name:
Last Name:CATRON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12101 COTTAGE PROMENADE CT
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-2150
Mailing Address - Country:US
Mailing Address - Phone:512-804-6717
Mailing Address - Fax:
Practice Address - Street 1:12101 COTTAGE PROMENADE CT
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-2150
Practice Address - Country:US
Practice Address - Phone:512-804-6717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX849435163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX849435OtherREGISTERED NURSE LICENSE NUMBER